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..n.. �w.ti tattattl• Itw� i1• � t;1■w � fi � � _ <br /> - CHAIN OF CUSTODY Rt ORD <br /> Geological Audit Services Inc . ' T <br /> E17Yironmen1a Professionals ' Date 11 -17-q Page 2 of <br /> 14`•� <br /> low <br /> 5803 West March Lane Suite A Stockton Colilormn 95107 {10Ji9SG 0164 <br /> Client {� D Project Manager <br /> Ro Zj M q rT Tests Required <br /> Phone Number <br /> q �'6 --G'),6y <br /> Samplers (Signature) Invoice <br />,Protect Name (j P iM Q k � , `'/'✓€c�wr �'C� GeoAudit <br /> Cheri[ ❑ <br /> S <br /> ample Location —Sample Type <br /> criptiDate TimeWater No of <br /> Description <br /> �yNotes I' <br /> Solid <br /> Comp Ginb Air Conts A, <br /> - 33/� <br /> �3 - 2-� x <br /> RGlinqUi3lied y igna_tureoco o C G oXKt o�'Jd <br /> k ��1� 7- /J at•!Ti • <br /> / 9 <br /> Relinquished by (Signature) —iz <br /> r <br /> floceivad by (Signnture) Dale/Time <br /> Relinquished by (Signature) Rocowed by Mobilo Laboratory for field analysis (Signature) <br /> Dat•frim• <br /> Dispatched by (Signature) DatolTimo Ilacewod for Laboraiwy by <br /> Qal•JTim• <br /> Method of Shipment Laboratory Name _t <br /> e <br /> �J Coukf-Qr i z <br /> Special Instructions I hereby authorize the porlormance of the above indicated work. <br /> } Jr 4 <br /> N� <br /> h <br /> w <br /> i <br />